HomeMy WebLinkAbout125 Kelly Cir 17-1733; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1-/?33
Documented Construction Value: $ , o
Job Address: 12 S K e ! l Y_ GY S- A FOC'd F1 3 Z 'q'7.3 historic District: Yes No
Parcel ID: 12-20 — SO - S 11"O O 1DC- O 8 4O Residentialg Commercial Type
of Work: New Addition Alteration M Repair Demo Change of Use Move Description
of Work: ges'l & - , 0 5 Plan
Review Contact Person: _ A AL Y S V e."r u ?,± , Title: -pr'..f- Phone: Fax:
Email: (14 `Ec,7 p Property Owner
Information NameAki OL-
Glcx Fe- f-ro CO Street: 12S •
tef 11 e (f f . , d City, State
Zip: 5" eocj F 3 2'7__ 3 Phone: 4
O F" y r 7— 4z q 2 Resident of
property? : Contractor Information
Name r%
CAS S vC-h'a n 4 Z'n Street: 114
u ;kt i ll R van Of ve, -- City, State
Zip: La, k e ,Y. P1 6 Phone: Z?
0 7 -2 3 4; Nu -0.S Fax: State
License
No.: C CC 13 -? 6 66 5 Architect/Engineer Information
Name: A A
Phone: Street: City, St,
Zip:
Bonding Company: '/ I _"'
Address: Fax: E-
mail:
Mortgage
Lender: IL !
A Address: WARNING TO
OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is
hereby
made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to
the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction.
I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, 0/ furnaces, boilers, heaters, tanks, and air conditioners, etc. 6 FBC 105.3
Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30,
2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the' public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
z I fl I a --I
Signature f Owner ent / Date '
Print Owner/Agent's Name
G- b
nature of Notary-StaXi of Florida Date
SignaturelbflContra *r/Agen't/ Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida D t
i}tBBI"e 6lANTO14
r' Ml' COMIMISSION S i F 176648
EYPIRES: February 25, 2019
Bois ed Thru NOW Public Underwriters
wne O*Miq&_ Personally Known to Me or Contractor/Agent is. Personally Known to Me or
r RaBbn!r, Type of ID FL n %_ Produced ID Type of ID Ir IL
42
to
4
BELOW IS FOR OFFICE USE ONLY
6, a
651
leiced: Buildin Electrical Mechanical Plumbin Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Permit Number:
Folio/P,arcel ID #:12 - Z O /-yoo o - oRyo
Prepared by: ALM5 Lo E L `
2 c, Snr
Return to: DECASA Construction
144 Mill Run Drive
Lake Mary, FL 32746
t ti jell I`IALU *f y '.:1Eh11.%IULf_. Chili I i
3_E'RK OF C:1R(,:1li:'{ C:nUF,:-1
131:. sip •':' I-'9 1,1.1I' i t.'=!_ i
CLERK'S 4 201.7057991
i ECORDIrate FEES $101.00
h1L(.:01RD1A) I'Y ese; i I
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Descriptio of p operty (le al description of the property, and stre#t address if available) L0't 8Y JvL *AI"C NEAP'
12-5 lee 1(•, ' 'r S ti .al P_ L ' P& 46 P6f t(. F
t
2. General description of improveinent
Residential shingle re -roof
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name AbAtAAt/A QP7-j'Q.oC. o
l2. I y UR SA FbL n F L 32-"3
r
rAddressb- ti
Interest in Property Owner
a_ a
tt," . ' s , s,-
o
Name and address of fee simple titleholder (if different from Owner listed above) f
Name NA a
Address
4. Contractor u w
Name DECASA Construction, In Telephone Number 407-235-4405
Address 144 Mill Run Drive, Lake Mary, FL 32746
5. Surety (if applicable, a copy of the payment bond is attached)-
v
Name NA Telephone Number W o
Address Amount of Bond $
6. Lender v `^
Name NA Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as pr vide by §713.13(1)(a)7, Florida Statutes.
Name i rA Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provioed in §713.13(1)(b), Florida Statutes.
Name jAl /7 Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording
unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDSVOR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
or Lessee, or Owner's or Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of j .% I by A,,r; . «. fPe,Jr I O
monthlylaar name of person
as QSW V\ e 1r
for
Type of authority, e.g., officer, trustee, attorney in fact
Signature of Notary Public — State of Florida
Personally Known OR Produced ID C
Type of ID Produced h. O
Form content revised: 01/23/14
Name of party on behalf of whom instrument was executed
Print, type, or st mp c otary Public
G 0. Gom. F+ •
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9
FsD., City of Sanford Building Division
yy . Residential Re -Roof Inspection Policy &Procedures
PERMITTING REQUIREMENTS — NO PLAN REVIEw REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted as part of your permit application.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that
will be installed on the project.
Apermit -will -riot -be -issued -without -thesedocuments- Copies-will-be-made-to-post-on-thejob-site-------
Projects located in the Sanford Historic District will require plan review and approval by the Sanford
Historic Preservation Board
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile
Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Re -Roof Scope of Work
Completed and Notarized Inspection Affidavit
All Florida Product Approval and Corresponding Installation Instructions
Product Approval shall match what is on the scope of work)
Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
Skylights (if applicable)
o Digital photographs showing all installation components, per FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:09 DATE: 1?'
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: l Ci K C. L L y Cam( K C
STRUCTURE TYPE: V JINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: Pz ( w0 --ri — -- --- - ---- --- ------ --- ----- -
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: ( OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (PINO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (Er4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE v-[E 1 F L # O
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "" IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
N
Quote , IncDECASAConstruction
State Certified Roofing Contractor LIC # CCC 1326465
State Certified General Contractor LIC # CBC 1255555
Name:
Address:
407) 235.4405 ''
Phone:
Job Location:
Fax:
We propose to furnish all necessary materials and labor to
complete the following:
Tear off existing Shingle / Flat I Tile roof
Inspect decking and bring up to code
Q Replace bad plywood for additional :
C1 Replace bad fascia hoard for additional:
Date: -
All work to be completed in a substantial and
workmanlike manner for the sum of
Bid PRICE: e o . 0-0
Options: $.
F D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 3 ADDRESS: (L K E L L Y CI,< C L- E
5AAlF: kP ., EL
I A N AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONT MM ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FORE 7TG INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: C e C 0 a G y G 5-
COMPANY / CONTRACTOR: Y E 6, N ST rz,-i o /J /t/C
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOL
I
VEOR OWNER/BUI ER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF V CAI I 1 I no IV
Syvorn to and Supscribed before me this I K, "'day of m/ 201 by:
5 vaned _.
nn 1(
Who is Pers onally Known tome or has Produced (type of
jr' r /
ataon) I V I I d I I Y r I i `en Qratification.
kXt
State R
of
No ary Public t FloridaFlorida 43092.
20 0 Print/
Type/Stamp Name of
Notary Public